Organization Active NPI

L S Gerber DPM & C Bromley DPM PC

  • Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1235164997
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
65 017501 Issued in NY
Legal business name
L S GERBER DPM & C BROMLEY DPM PC
Practice address
22 Fairmont Ave
Poughkeepsie, NY 12603-2422
Phone
(845) 454-0630
Fax
(845) 454-0637
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Alice Taylor
Title
Office Manager
Phone
(845) 454-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 65 017501 NY Primary

Addresses

Primary practice location

22 Fairmont Ave
Poughkeepsie, NY 12603-2422

Mailing address

22 Fairmont Ave
Poughkeepsie, NY 12603-2422
Phone (845) 454-0630

Other identifiers 7

IdentifierTypeStateIssuer
1396784849OtherNPI: FLORENCE GABRIELLE SUMMERS DPM
1538163290OtherNPI CHRISTOPHER KENT BROMLEY DPM
1538163290OtherNPI: AUDRA ROCHELLE SIEGEL DPM
30061OtherTAX ID LAST 5 DIGITS
1194764639OtherNPI LEONARD STUART GERBER DPM
RAIL ROAD ME GRP IDOtherCJ2100
1528073822OtherNYNPI: DANY YOSEF JABBOUR DPM

Other names 1

  • LEONARD S GERBER DPM & CHRISTOPHER BROMLEY DPM PC Other name

National Provider Directory

National Provider Directory

Locations

85 E Main St
Washingtonvle, NY 10992
Phone (845) 496-3039

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1235164997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032422",
            "telephone_number": "845-454-0630",
            "fax_number": "845-454-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032422",
            "telephone_number": "845-454-0630",
            "fax_number": "845-454-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "L S GERBER DPM & C BROMLEY DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "845-454-0630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "65 017501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI:     FLORENCE GABRIELLE SUMMERS DPM",
            "identifier": "1396784849",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  CHRISTOPHER KENT BROMLEY DPM",
            "identifier": "1538163290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI:  AUDRA ROCHELLE SIEGEL DPM",
            "identifier": "1538163290",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID LAST 5 DIGITS",
            "identifier": "30061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI    LEONARD STUART GERBER DPM",
            "identifier": "1194764639",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CJ2100",
            "identifier": "RAIL ROAD ME GRP ID",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI:  DANY YOSEF JABBOUR DPM",
            "identifier": "1528073822",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEONARD S GERBER DPM & CHRISTOPHER BROMLEY DPM PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.